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The role of neuroticism, perfectionism and depression in chronic fatigue syndrome. A structural equation modeling approach.

Abstract：

OBJECTIVE:Previous studies have reported consistent associations between Neuroticism, maladaptive perfectionism and depression with severity of fatigue in Chronic Fatigue Syndrome (CFS). Depression has been considered a mediator factor between maladaptive perfectionism and fatigue severity, but no studies have explored the role of neuroticism in a comparable theoretical framework. This study aims to examine for the first time, the role of neuroticism, maladaptive perfectionism and depression on the severity of CFS, analyzing several explanation models. METHODS:A sample of 229 CFS patients were studied comparing four structural equation models, testing the role of mediation effect of depression severity in the association of Neuroticism and/or Maladaptive perfectionism on fatigue severity. RESULTS:The model considering depression severity as mediator factor between Neuroticism and fatigue severity is the only one of the explored models where all the structural modeling indexes have fitted satisfactorily (Chi square=27.01, p=0.079; RMSE=0.047, CFI=0.994; SRMR=0.033). Neuroticism is associated with CFS by the mediation effect of depression severity. This personality variable constitutes a more consistent factor than maladaptive perfectionism in the conceptualization of CFS severity.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Valero S,Sáez-Francàs N,Calvo N,Alegre J,Casas M

doi

10.1016/j.comppsych.2013.04.015

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

1061-7

issue

7

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(13)00107-7

journal_volume

54

pub_type

杂志文章

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